NPI | 1063277176 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN CORNWALL Owner 717-823-7674 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-02-19 |